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1184052441
GENESIS EXTRACARE, LLC
TYLER, TX
NPI
1184052441
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Entity Type
Organization
Authorized Contact
STEPHANIE SMITSON
President
903-571-1779
Organization Subpart ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2013-10-24
Last Update Date
2013-10-24
Business Address
GENESIS EXTRACARE, LLC
3500 S VINE AVE
TYLER, TX 75701-8541
Phone number: 972-571-2422
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Mailing Address
GENESIS EXTRACARE, LLC
3500 S VINE AVE
TYLER, TX 75701-8541
Phone number: 972-571-2422
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